REGISTRATION


AAU New York State Festival of Champions
Scholastic Wrestling Event
Date Pending | Commack High School
Commack, N.Y. 11725

On-Line Registration

Directions - fill in the information below and print it out before you press submit registration. You must obtain parental consent which must be submitted prior to the event or you may mail and/or fax the form containing signatures in advance to the address below.

name -  weight class -  grade -
division - high school (9-12)   middle (6-8) elementary  (4-5)
address - city - state -
zip code - e-mail address - telephone -
school - coach -
season record - placed in league placed -
placed in section placed - Do you require AAU membership?

A $40 non-refundable event registration fee should be mailed with this completed entry form to secure your entry in the AAU New York State Festival of Champions. If you require AAU membership then an additional $12- [optional] must be included. Membership will be distributed at weigh-in. Championship shirts will be available for purchase at the event.

Indicate size - small medium large x-large xx-large

I have enclosed a check for $  which includes $40 for the event registration fee and the $12- AAU membership fee [optional]. Please make check payable to the Commack Wrestling Association.

Liability release -  I, the undersigned, individually and as a parent/guardian of __________________ a minor, ask that he/she be admitted to participate in the above AAU sponsored event. I do hereby agree to release, discharge and hold harmless the AAU, their agents and employees of and from all causes, liabilities, and damages, claims or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the sporting event or in the course of competition held in connection with this event. I also give permission for my child's photograph to appear in promotional material regarding this event.

Parent/Guardian signature required - ______________________________________

Please mail this entry form to - 
Commack Wrestling Association - 12 Sun Haven Lane - Commack, NY 11725

Note: The completed entry form WITH parental consent must be received prior to the day of the event.

 


Copyright © Commack Wrestling Association. All rights reserved.
Revised: February 27, 2010

Copyright © Commack Wrestling Association